EMILY K. DODGE (MD) – Emergency Medicine Physician, NPI 1609090166

EMILY K. DODGE (MD) is a healthcare provider. based in Bay village, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 57011490 (OH). The NPI Number for EMILY K. DODGE (MD) is 1609090166

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
EMILY K. DODGE (MD)
NPI
1609090166
Phone
Not provided
Address
24311 LAKE RD
Enumeration Date
13 April 2007
Last Update Date
27 December 2021

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
4183775026
Group Practice PAC ID
8628982949
Professional Enrollment ID
I20090706000375
Address ID
OH441091900Cl2500XDRXX301

Contacts

Secure Messaging
edodge5245@direct.metrohealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for EMILY K. DODGE (MD)

  • 24311 LAKE RD

    BAY VILLAGE, OH 441402958

    Phone:

    Type: Mailing

  • 2500 METROHEALTH DR

    CLEVELAND, OH 441091900

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090706000375IEmergency MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making115109$0
99284Emergency department visit with moderate level of medical decision making2724$0
View full utilization report →

Insurance plans in this area (ZIP 44140)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628982949View full group profile
NameSpecialtyState
-OH
-OH
Plastic And Reconstructive Surgery, Maxillofacial SurgeryOH
Cardiovascular Disease (Cardiology)OH
Emergency MedicineIN
Nurse PractitionerOH
-OH
Cardiovascular Disease (Cardiology), Internal MedicineOH
-OH
-VA

Reviews

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Frequently asked questions

What is the registry number for EMILY K. DODGE (MD)?
The registry entry for EMILY K. DODGE (MD) shows NPI 1609090166.
Should I treat EMILY K. DODGE (MD) as an active provider?
Patients and plans typically see EMILY K. DODGE (MD) as active in the national extract.
Which specialty label fits EMILY K. DODGE (MD)?
NPPES ties EMILY K. DODGE (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to EMILY K. DODGE (MD)?
The directory associates EMILY K. DODGE (MD) with Bay Village, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains EMILY K. DODGE (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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